LỰA CHỌN PHƯƠNG THỨC tạo NHỊP TIM tối ưu

Mode Selection For Optimal Pacing Therapy LỰA CHỌN PHƯƠNG THỨC TẠO NHỊP TIM TỐI ƯU ThS. Phan Đình Phong Viện Tim mạch Việt Nam Providing Optimal Pacing Therapy Heart rate increase Stroke volume maximization Atrial based pacing Normal ventricular activation sequence NASPE/BPEG - NBG Code I Chamber Paced II Chamber Sensed III Response to Sensing IV Programmable Functions/Rate Modulation V Antitachy Function(s) V: Ventricle V: Ventricle T: Triggered P: Simple programmable P: Pace A: Atrium A: Atrium I: Inhibited M: Multi- programmable S: Shock D: Dual (A+V) D: Dual (A+V) D: Dual (T+I) C: Communicating D: Dual (P+S) O: None O: None O: None R: Rate modulating O: None S: Single (A or V) S: Single (A or V) O: None VVI VVIR AAIR AAI DDI DDDR VDD VOO VAT Which To Choose? AOO DDIR DDD AAT DVI VVT Paced Rhythm Recognition AAI / 60 Paced Rhythm Recognition VVI / 60 Paced Rhythm Recognition DDD / 60 / 120 Paced Rhythm Recognition DDD / 60 / 120 Paced Rhythm Recognition DDD / 60 / 120 Paced Rhythm Recognition DDD / 60 / 120 [...]... adequate? N N DDD, VDD DDDR N DDDR AAI (R) or DDD (R) Aai (R) DDD (R) Optimal Mode Selection Evaluation: Mr Le (AAIR or DDDR) Objective Yes Provides heart rate increases?  Provides opportunity for stroke volume maximization?  Promotes atrial electrical stability?  Allows normal ventricular activation sequence?  No Determining the Optimal Pacing Mode: Mr Hoang P P QRS  Patient information: - Mr Hoang... adequate? Y N N DDD, VDD DDDR N DDDR VDD or DDD (R) vdd DDD (R) Optimal Mode Selection Evaluation: Mr Hoang (DDD, VDD, or DDDR) Objective Yes Provides heart rate increases?  Provides opportunity for stroke volume maximization?  Promotes atrial electrical stability?  Allows normal ventricular activation sequence?  No Determining the Optimal Pacing Mode: Ms Nguyen  Patient information: - Ms Nguyen... VVIR if atrial tachyarrhythmias presents DDD (R)  VVI (R) x Optimal Mode Selection Evaluation: Ms Nguyen (DDDR with Mode Switch) Objective Yes Provides heart rate increases?  Provides opportunity for stroke volume maximization?  Promotes atrial electrical stability?  Allows normal ventricular activation sequence?  No Determining the Optimal Pacing Mode: Mr Do Patient information: - Mr Do has brady-tachy... conduction intact? Y N Is SA node function presently adequate? AAIR DDDR (SSS) N (CSS, VVS) DDD, DDI with RDR Y VVI VVIR Is SA node function presently adequate? Y N N DDD, VDD DDDR N DDDR Determining the Optimal Pacing Mode: Mr Le  Patient information: - Documented symptomatic sinus bradycardia - When exercise tested, rate does not increase appropriately with increasing work loads - At present, AV conduction . Mode Selection For Optimal Pacing Therapy LỰA CHỌN PHƯƠNG THỨC TẠO NHỊP TIM TỐI ƯU ThS. Phan Đình Phong Viện Tim mạch Việt Nam Providing Optimal Pacing Therapy Heart rate. Y Y N AAIR DDDR DDD, DDI with RDR N N (SSS) (CSS, VVS) N ? ? ? Determining the Optimal Pacing Mode: Mr. Le  Patient information: - Documented symptomatic sinus bradycardia -. DDDR DDD, DDI with RDR N N (SSS) (CSS, VVS) N AAI (R) or DDD (R) Aai (R) DDD (R) Optimal Mode Selection Evaluation: Mr. Le (AAIR or DDDR) Objective Yes No Provides heart rate increases?